888-KAYAKGA

BCU Registration Form
Sea Kayak Georgia Skills Symposium & BCU Week Oct 17-21, 2008

This form is provided as a tool to assist you in the registration process. Please give us a call to sign up by phone to be assured of class availablity and to discuss class prerequisites. Toll free 888 529 2542

Name: ________________________________________ Boat loan/rental: Height:_____Weight:_______

Phone: cell ____________________ hm_______________________

E-mail_______________________________________________________________________________
Please print email address clearly; we will be doing most updates via email
Do you need a boat? Yes_____ No_____ Boat Assignment_______
Own boat & Gear, what kind of boat?_________________________(please List)
Fiberglass upgrades $300 for 5 days or $75 per day __________________________________________
T-shirt size__________________________________________T-shirts will be given to full week participants. Ala carte participants can order T-shirts $20.00 per shirt. Extras also $20.00

A limited number of plastic boats are available for rent on first come first served basis $100 for the week or $40 per day. Fiberglass kayaks may be rented for $300 for five days or $75 per day. The SKUK Nigel Dennis Romany Surf RM may be rented for $200 for five days or $60 per day.

Helmets required for 3 Star Sea Training and Assessment, 4 Star Leader Training and sea kayak surfing.

Level 1 & 2 Coach Candidates: All prerequisites should be completed and approved C1 forms requested from BCU North America at www.bcuna.com two months prior to course date.

Program Fees:
BCU Week Friday-Tuesday $750, Ala Carte $150 per day, Dinners $35 per person
Gear Rental: Helmet $10/day, or $25/5 days, pump $12/1-5 days Gear Rental
Fiberglass rentals $300 for 5 days or $75 per day
Extra T shirts $20.00

Friday Night Oyster Roast_____________ (Vegetarian options available)
Monday Night Island Extravaganza _________ (Vegetarian options available)
Dietary Restrictions/Food Allergies ____________

Boat/Gear Rental Total_____________
Dinner Total ________________
Extra T shirt Total____________
Course Total ________________

Grand Total __________________

Credit Card #___________________________________________Expiration ________CVV__________

Billing Address: ___________________________________________________________